Active NPI
RX America
- Long Term Care Pharmacy
- Redwood City, CA
National Provider Identifier
1790066348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- License
- 53894
- Legal business name
- RX AMERICA
- Practice address
- 11 Berkshire Ave
Redwood City, CA 94063-3632 - Phone
- (650) 216-9800
- Fax
- (650) 216-9805
- NPI assigned
- Sep 8, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rosemarie Veridiano
- Title
- Pic
- Phone
- (650) 580-2983
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Long Term Care Pharmacy | 3336L0003X | 53894 | CA | Primary |
| Mail Order Pharmacy | 3336M0002X |
Addresses
Primary practice location
11 Berkshire Ave
Redwood City, CA 94063-3632
Mailing address
11 Berkshire Ave
Redwood City, CA 94063-3632
Phone (650) 216-9800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2138317 | Other | PK |
Other names 1
- Berkshire Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20201223002029 | CA | Part B Supplier - Mass Immunization (Roster Biller Only) | 1759516727 | Practice locations: Redwood City, CA |
National Provider Directory
National Provider DirectoryLocations
11 Berkshire Ave
Redwood City, CA 94063
Phone (650) 216-9800
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Redwood City, CA
- NPI 1821524711
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315440000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1489708800000",
"number": "1790066348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 BERKSHIRE AVE",
"city": "REDWOOD CITY",
"state": "CA",
"postal_code": "940633632",
"telephone_number": "650-216-9800",
"fax_number": "650-216-9805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 BERKSHIRE AVE",
"city": "REDWOOD CITY",
"state": "CA",
"postal_code": "940633632",
"telephone_number": "650-216-9800",
"fax_number": "650-216-9805"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RX AMERICA",
"organizational_subpart": "NO",
"enumeration_date": "2011-09-08",
"last_updated": "2017-03-17",
"status": "A",
"authorized_official_last_name": "VERIDIANO",
"authorized_official_first_name": "ROSEMARIE",
"authorized_official_title_or_position": "PIC",
"authorized_official_telephone_number": "650-580-2983"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": "CA",
"license": "53894",
"primary": true
},
{
"code": "3336M0002X",
"taxonomy_group": "",
"desc": "Pharmacy, Mail Order Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2138317",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Berkshire Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Redwood City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.